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    Rheumatoid arthritis

    Auteur: Podiatre Montreal

    Several studies have shown that custom-made foot orthotics are a very important treatment for patients with rheumatoid arthritis who experience pain in the back of their feet (inside and around the ankle joint) and under the tips of their feet.

    • A 2003 study published in the Journal of Rheumatology showed that subjects with rheumatoid arthritis (RA) had excessive pronation of the astragalocalcaneal joint (inward rolling of the foot and flattening of the foot) compared to subjects without RA. When patients with RA received custom-made foot orthotics, their pronation was significantly reduced. The authors of this study recommended that RA patients with hindfoot pain should wear custom-made foot orthotics.
    • A study conducted in 2002 was developed to find out whether early use of custom-made foot orthotics would reduce pain in patients with RA with excessive pronation. In this study, 96% of subjects used their foot orthotics and 97% found them comfortable. The researchers concluded that custom-made foot orthotics used continuously over a 30-month treatment period resulted in a 19.1% reduction in foot pain, a 30.8% reduction in foot disability, and a 13.5% reduction in functional limitation.
    • A study conducted in 1999 and published in the Journal of Clinical Biomechanics was designed to evaluate the effectiveness of foot orthotics for the management of pain and tension in the tiptoe. They concluded that proper foot orthotic design can significantly improve the comfort of RA patients with symptomatic feet. A custom molded foot orthotic with a metatarsal dome is the most effective design for subjects experiencing pain in the metatarsal heads.

    These are just a few of the many studies that have shown that custom-made foot orthotics are an essential treatment for pain relief in patients with rheumatoid arthritis. Our podiatrist doctor offers orthotic therapy and orthotic prescriptions are based on the best medical evidence and their own clinical experience to provide patients with the best possible clinical outcomes. If you have foot pain caused by rheumatoid arthritis (or any other type of arthritis) contact us today to book an appointment at our clinic in Montreal.

    What are the symptoms associated with severe rheumatoid arthritis?

    1. stiff, contracted toes
    2. toes pointing in the opposite direction from the big toe
    3. protruding forefoot bones
    4. thickened skin on the lower part of the forefoot
    5. swelling
    6. bunions on the foot
    7. reduction of the fat pad under the forefoot
    8. pain

    What causes the symptoms associated with severe rheumatoid arthritis?

    1. Rheumatoid arthritis causes inflammation and weakening of the supporting structures such as ligaments causing the toes to contract and deviate.

    What can I do to relieve the symptoms caused by rheumatoid arthritis?

    1. Wear wide and deep shoes.
    2. Use padding to reduce pressure on the toes.
    3. Use orthotics to reduce tension in the forefoot caused by the loss of fat under the foot and the deviation of the toes.
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      Podiatre Montréal
      1826 Sherbrooke O,
      Montreal, QC H3H 1E4
      514-931-6111